Dementia and stroke often have devastating consequences, so patients want to know what they can do to protect themselves against these diseases. A team of clinicians in partnership with patients developed a Brain Care Score (BCS) based on modifiable risk factors identified in past epidemiological studies. In the BCS, weights are assigned to four physical components (i.e., blood pressure, glycosylated hemoglobin, cholesterol, and body-mass index), to five lifestyle elements (i.e., nutrition, alcohol intake, smoking, aerobic activities, and sleep), and to three social factors (i.e., stress, relationships, and purpose in life). Lower scores on the BCS (range, 0–19) predict higher risk.

The team then validated whether the BCS predicted new dementia or stroke in the U.K. Biobank cohort, which consisted of 398,900 people (age range at baseline, 40–69). During average follow-up of nearly 13 years, new dementia or stroke occurred in ≈3% of the cohort. The BCS identified people who were at highest risk for these outcomes. For example, among those who were younger than 50 at baseline, a 5-point higher score predicted 59% lower risk for dementia and 48% lower risk for stroke.

This score could be computed automatically from information already in electronic health records and used to identify risk factors and to engage patients in modifying those risk factors. Whether such scoring would actually lead to lower incidences of dementia and stroke remains to be seen.

Emerging evidence implicates the gut microbiome in cognitive outcomes and neurodevelopmental disorders, but the influence of gut microbial metabolism on typical neurodevelopment has not been explored in detail. Researchers from Wellesley College, in collaboration with other institutions, have demonstrated that differences in the gut microbiome are associated with overall cognitive function and brain structure in healthy children.

This study—published Dec. 22 in Science Advances—is a part of the Environmental Influences on Child Health Outcome (ECHO) Program. This study investigates this relationship in 381 healthy children, all part of The RESONANCE cohort in Providence, Rhode Island, offering novel insights into early childhood development.

The research reveals a connection between the gut microbiome and cognitive function in children. Specific gut microbial species, such as Alistipes obesi and Blautia wexlerae, are associated with higher cognitive functions. Conversely, species like Ruminococcus gnavus are more prevalent in children with lower cognitive scores. The study emphasizes the role of microbial genes, particularly those involved in the metabolism of neuroactive compounds like short-chain fatty acids, in influencing cognitive abilities.

Sitting alongside the neurons in your enteric nervous system are underappreciated glial cells, which play key roles in digestion and disease that scientists are only just starting to understand.